Provider First Line Business Practice Location Address:
RAYMOND RENAISSANCE SURGERY CENTER
Provider Second Line Business Practice Location Address:
125 N RAYMOND AV 212
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-290-0489
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/20/2010